Individual provider · Type 1 NPI
Gary Kenyon
Addiction (Substance Use Disorder) Counselor · Avondale, AZ
NPI number
1790141687
Active
Practice location
12918 W Palm Ln
Avondale, AZ 85392-7153
Mailing address
PO Box 1891
Snowflake, AZ 85937-1891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Avondale
About NPI 1790141687
Gary Kenyon's National Provider Identifier is 1790141687, issued on Jan 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Avondale, AZ. The record was last updated on Jan 7, 2016.